关键词: arteriovenous fistula common iliac artery ruptured aneurysm

来  源:   DOI:10.3400/avd.cr.23-00122   PDF(Pubmed)

Abstract:
Ruptured abdominal aortic aneurysms and common iliac artery aneurysms (CIAAs) are rarely associated with an arteriovenous fistula (AVF). In such cases, surgery is frequently extremely difficult and the prognosis is usually poor. We report a case of a ruptured CIAA with a common iliac AVF in a 58-year-old male patient who presented with symptoms of severe edema in his left lower extremity. We used an aneurysm wall patch to repair the fistula and successfully reconstruct the common iliac vein, and a bifurcated prosthetic graft for abdominal aortic and iliac artery replacement.
摘要:
腹主动脉瘤破裂和髂总动脉瘤(CIA)很少与动静脉瘘(AVF)相关。在这种情况下,手术通常极其困难,预后通常较差。我们报告了一名58岁的男性患者中出现左下肢严重水肿症状的病例,该患者伴有髂总AVF。我们使用动脉瘤壁补片修复瘘管并成功重建髂总静脉,和用于腹主动脉和髂动脉置换的分叉假体移植。
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